Real-World Clinical Outcomes of Bamlanivimab and Casirivimab-Imdevimab among High-Risk Patients with Mild to Moderate Coronavirus Disease 2019
| Autor: | Leigh L. Speicher, Jordan K. Rosedahl, Raymund R. Razonable, Lindsey M. Philpot, Lori L Arndt, Caroline G. Wilker, Sidna M. Tulledge-Scheitel, Ravindra Ganesh, Dennis M. Bierle, Richard F. Arndt, Sara N. Hanson, Brian D. Kennedy, Molly J. Destro Borgen, Brian B Kottke, Maria Teresa Seville, Ryan J. Anderson, Priya Ramar, Tracy L. Culbertson, Jennifer J. Larsen |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19) Population outcomes Antibodies Viral Internal medicine Major Article Immunology and Allergy Medicine Humans education education.field_of_study High risk patients business.industry SARS-CoV-2 Hazard ratio Medical comorbidity Antibodies Monoclonal medicine.disease Comorbidity Confidence interval casirivimab Infectious Diseases AcademicSubjects/MED00290 covid-19 Observational study bamlanivimab business hospitalization |
| Zdroj: | The Journal of Infectious Diseases |
| ISSN: | 1537-6613 0022-1899 |
| Popis: | Background Bamlanivimab and casirivimab-imdevimab are authorized for treatment of mild to moderate coronavirus disease 2019 (COVID-19) in high-risk patients. We compared the outcomes of patients who received these therapies to identify factors associated with hospitalization and other clinical outcomes. Methods Adult patients who received monoclonal antibody from 19 November 2020 to 11 February 2021 were selected and divided into those who received bamlanivimab (n = 2747) and casirivimab-imdevimab (n = 849). The 28-day all-cause and COVID-19–related hospitalizations were compared between the groups. Results The population included 3596 patients; the median age was 62 years, and 50% were female. All had ≥1 medical comorbidity; 55% had multiple comorbidities. All-cause and COVID-19–related hospitalization rates at 28 days were 3.98% and 2.56%, respectively. After adjusting for medical comorbidities, there was no significant difference in all-cause and COVID-19–related hospitalization rates between bamlanivimab and casirivimab-imdevimab (adjusted hazard ratios [95% confidence interval], 1.4 [.9–2.2] and 1.6 [.8–2.7], respectively). Chronic kidney, respiratory and cardiovascular diseases, and immunocompromised status were associated with higher likelihood of hospitalization. Conclusions This observational study on the use of bamlanivimab and casirivimab-imdevimab in high-risk patients showed similarly low rates of hospitalization. The number and type of medical comorbidities are associated with hospitalizations after monoclonal antibody treatment. |
| Databáze: | OpenAIRE |
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